TRENDS IN SURGICAL MANAGEMENT OF RENAL NEOPLASMS: SINGLE CENTER RESULTS IN THE LAST DECADE

Area of Science:

• Urology
• Surgical Oncology
• Nephrology

Background:

• Renal neoplasms are commonly treated surgically via open or minimally invasive methods.
• Nephron-sparing surgery is preferred when feasible, irrespective of the surgical approach.

Purpose of the Study:

• To analyze surgical trends in the operative treatment of renal neoplasms.
• To evaluate the adoption of different surgical approaches and nephron-sparing techniques over a decade.

Main Methods:

• Retrospective analysis of 1031 renal neoplasm procedures from February 2011 to December 2020.
• Categorization of procedures into radical nephrectomy (RN) and partial nephrectomy (PN).
• Comparison of open versus laparoscopic approaches and analysis of operative times and pathologies.

Main Results:

• A total of 1031 procedures were performed: 68.2% RN and 31.8% PN.
• Laparoscopic approach was used in 20.5% of cases, while open surgery dominated at 79.5%.
• Clear cell carcinoma was the most frequent pathology (67.3%); positive surgical margins occurred in 8.2% of PN cases.

Conclusions:

• The study observed a rising trend in the overall number of renal neoplasm surgeries.
• There was a concurrent increase in the utilization of minimally invasive and nephron-sparing surgical techniques.
• Surgical trends indicate a shift towards less invasive and organ-preserving options for kidney tumor treatment.